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===Internal=== Internal hemorrhoids usually present with painless, bright red [[rectal bleeding]] during or following a bowel movement.<ref name=World09 /> The blood typically covers the stool (a condition known as [[hematochezia]]), is on the toilet paper, or drips into the toilet bowl.<ref name=World09 /> The stool itself is usually normally coloured.<ref name=World09 /> Other symptoms may include mucous discharge, a perianal mass if they [[prolapse]] through the anus, [[Pruritus ani|itchiness]], and [[fecal incontinence]].<ref name=AFP2006>{{cite journal |last = Davies |first = RJ |title = Haemorrhoids. |journal = Clinical Evidence |volume = 74 |date = June 2006 |issue = 15 |pages = 711β24 |pmid = 16973032 |url = http://www.aafp.org/afp/2006/1001/p1168.html |url-status = live |archive-url = https://web.archive.org/web/20130520225522/http://www.aafp.org/afp/2006/1001/p1168.html |archive-date = 2013-05-20 }}</ref><ref>{{cite book |last = Azimuddin |first = Indru Khubchandani, Nina Paonessa, Khawaja |title = Surgical treatment of hemorrhoids |year = 2009 |publisher = Springer |location = New York |isbn = 978-1-84800-313-2 |page = 21 |url = https://books.google.com/books?id=7WC4f7BhChEC&pg=PA21 |edition = 2nd |url-status = live |archive-url = https://web.archive.org/web/20170908184817/https://books.google.com/books?id=7WC4f7BhChEC&pg=PA21 |archive-date = 2017-09-08 }}</ref> Internal hemorrhoids are usually painful only if they become thrombosed or [[necrosis|necrotic]].<ref name=World09 />
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